Combustion of pneumoperitoneum: a rare danger in the operating room

Abstract

Fire or combustion occurring during laparotomy is an uncommon and potentially hazardous event that can be precipitated by the use of surgical energy devices in the presence of enteric gases or exogenous materials present in the abdomen such as alcohol. Oxygen necessary for a combustive event can be increased in the setting of a proximal enteric injury and with higher concentrations of inspired oxygen during anaesthesia. We report on a case of combustion on entry to the abdomen using monopolar diathermy during exploratory laparotomy for gastric antral perforation in the presence of alcohol and enteric gases.

Combustion of Pneumoperitoneum: A Rare Complication Secondary to Spontaneous Combustion of Free Gas in the Peritoneal Cavity

“…Oxygen and nitrous oxide are the two oxidisers present in the operating theatre, while surgical spirit, drapes and gastrointestinal gas can serve as fuel [ 1 ]. Diathermy and laser are the commonly discussed ignition sources [ 2 ]. Operating theatre fire incidents are uncommon [ 1 , 2 ].…”

“…Diathermy and laser are the commonly discussed ignition sources [ 2 ]. Operating theatre fire incidents are uncommon [ 1 , 2 ]. Head and neck surgeries and facial surgeries are the most commonly involved surgeries in theatre fire accidents, and the involvement of abdominal surgeries in such accidents is rare [ 3 ].…”